Sífilis gestacional e congênita e sua relação com a cobertura da Estratégia Saúde da Família, Goiás, 2007-2014: um estudo ecológico*

Nunes, Patrícia Silva; Zara, Ana Laura de Sene Amâncio; Rocha, Déborah Ferreira Noronha de Castro; Marinho, Tamíris Augusto; Mandacarú, Polyana Maria Pimenta; Turchi, Marília Dalva

doi:10.5123/s1679-49742018000400008

Cited by 40 publications

(46 citation statements)

References 13 publications

(16 reference statements)

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“…Grosso corroborate the findings from other studies conducted in the country 19,20 , as well as the increase in syphilis incidence rates observed in recent years in Brazil 6 . The increase was attributed by the Ministry of Health to improvements in health information systems, greater number of opportunities for rapid testing in Basic Health Units (UBS), reduced condom use, decreased benzathine penicillin stocks, and the reservations among health professionals regarding the administration of this antibiotic in UBS 4 .…”

Section: The Spatiotemporal Evolution Of Ps and Cs Incidences In Matosupporting

confidence: 90%

Syphilis in pregnant women and congenital syphilis: spatial pattern and relationship with social determinants of health in Mato Grosso

Oliveira

Santos

Souto

2020

Rev. Soc. Bras. Med. Trop.

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Introduction: The increasing incidence of syphilis among pregnant women (PS) and congenital syphilis (CS) has negatively affected maternal-child health in Brazil. The spatial approach to diseases with social indicators improves knowledge of health situations. Herein, we aimed to evaluate the spatiotemporal distribution of incidences, identify the priority areas for infection control actions, and analyze the relationship of PS and CS clusters with social determinants of health in Mato Grosso. Methods: This is an ecological study with data from different health information systems. After data procedure linkage, we analyzed the Bayesian incidences of triennial infections during specific periods. We performed SATSCAN screenings to identify spatiotemporal clusters. Further, we verified the differences between the clusters and indicators using Pearson's chi-square test. Results: The variations in PS incidence were 0.9-20.5/1,000 live births (LB), 0.6-46.3/1,000 LB, and 2.1-23.2/1,000 LB in the first, second, and last triennium, respectively; for CS, the variations were 0-7.1/1,000 LB, 0-7.5/1,000 LB, and 0.3-10.8/1,000 LB in the first, second, and last triennium, respectively. Three clusters each were identified for PS (RR=2.02; RR=0.30; RR=21.45, p<0.0001) and CS (RR=3.55; RR=0.10; RR=0.26, p<0.0001). The high-risk clusters overlapped in time-space; CS incidence was associated with municipalities with a higher proportion of LB mothers of race/non-white color and with poor sanitary conditions, lower proportion of pregnant teenagers, and under 8 years of schooling. Conclusions: The increase in the spatiotemporal evolution of PS and CS incidences and the extension of areas with persistent infections indicate the need for monitoring, especially of priority areas in the state.

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Section: The Spatiotemporal Evolution Of Ps and Cs Incidences In Matosupporting

confidence: 90%

Syphilis in pregnant women and congenital syphilis: spatial pattern and relationship with social determinants of health in Mato Grosso

Oliveira

Santos

Souto

2020

Rev. Soc. Bras. Med. Trop.

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“…Some studies have shown no difference in congenital syphilis and HIV incidence in areas with greater coverage of Family Health Strategy units 15 . In addition, they report failures in primary care 17 .…”

Section: Introductionmentioning

confidence: 99%

Factors associated with prenatal care and HIV and syphilis testing during pregnancy in primary health care

et al. 2019

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OBJECTIVE: To evaluate the factors associated with HIV and syphilis testing during pregnancy in Brazil. METHODS: This was an ecological study covering all Brazilian municipalities evaluated by the second cycle of the National Program for Access and Quality Improvement in Primary Care, 2013-2014. The dependent variables were based on prenatal care access: prenatal care appointments, and HIV and syphilis tests during prenatal care. The independent variables were compared with demographic and social characteristics. Bivariate analysis was performed assessing the three outcomes with the independent variables. Variables with significant associations in this bivariate analysis were fit in a Poisson multiple regression analysis with robust variance to obtain adjusted estimates. RESULTS: Poisson regression analysis showed a statistically significant association with the variables “less than eight years of study” [prevalence ratio (PR) = 1.31; 95%CI 1.19–1.45; p < 0.001] and “participants of the cash transfer program” (PR = 0.80; 95%CI 0.72–0.88; p < 0.001) for the outcome of “having less than six prenatal care appointments” and individual variables. A statistically significant association was found for “participants of the cash transfer program” (PR = 1.43; 95%CI 1.19–1.72; p < 0.001) regarding the outcome from the comparison between HIV testing absence during prenatal care and demographic and social characteristics. The absence of syphilis testing during prenatal care, and demographic and social characteristics presented a statistically significant association for the education level variable “less than eight years of study” (PR =1.75; 95%CI 1.56–1.96; p < 0.001) and “participants of the cash transfer program” (PR = 1.21, 95%CI 1.07–1.36; p < 0.001). CONCLUSIONS: The individual factors were associated with prenatal care appointments and HIV and syphilis tests in Brazilian pregnant women. They show missed opportunities for diagnosing HIV and syphilis infection during prenatal care and indicate weaknesses in the quality of maternal health care services to eliminate mother-to-child transmission.

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“…A study carried out in the state of Goiás in 2014 has shown that the municipalities with the highest family health coverage had the highest incidence rates of syphilis among pregnant women. In the same study, the incidence was 3.5/1,000 LB in municipalities with less than 25% coverage and 5.1/1000 LB in those with more than 75% coverage 8 .…”

mentioning

confidence: 69%

Syphilis among pregnant women in Northeast Brazil from 2008 to 2015: a trend analysis according to sociodemographic and clinical characteristics

Mélo

Santos

Brito

et al. 2020

Rev. Soc. Bras. Med. Trop.

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Introduction: The number of syphilis cases among pregnant women in Brazil has increased. This study aimed to analyze the temporal trend of syphilis indicators among pregnant women in Northeast Brazil. Methods: A time-series study was performed. Results: We observed an increase in the detection rate of syphilis among pregnant women, those aged 15-19 years, and those of brown ethnicity. A strong correlation was observed between the detection rate of syphilis and family health strategy coverage. Conclusions: Despite an increase in primary care coverage, The increase in cases of syphilis among pregnant women is still considered a challenge. Keywords: Syphilis. Pregnant Women. Ecological Studies. Epidemiology. 2/6 de Souza CDF et al. -Syphilis in pregnant women in Northeast BrazilFIGURE 1: Trend of syphilis detection rate among pregnant women. Northeast Brazil, 2008-2015. Legend: APC-Annual Percent Change; 95% CI-95% of Confidence Interval.

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Sífilis gestacional e congênita e sua relação com a cobertura da Estratégia Saúde da Família, Goiás, 2007-2014: um estudo ecológico*

Cited by 40 publications

References 13 publications

Syphilis in pregnant women and congenital syphilis: spatial pattern and relationship with social determinants of health in Mato Grosso

Syphilis in pregnant women and congenital syphilis: spatial pattern and relationship with social determinants of health in Mato Grosso

Factors associated with prenatal care and HIV and syphilis testing during pregnancy in primary health care

Syphilis among pregnant women in Northeast Brazil from 2008 to 2015: a trend analysis according to sociodemographic and clinical characteristics

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